The reconstructive surgeon faces a problem when dealing with larger soft tissue lesions over the knee and proximal two thirds of tibia, crucial sites lower limb. Large free flaps or pedicled local are solutions problem. soleus gastrocnemius by itself insufficient. Without using flaps, combined gastrocnemius-soleus can be employed effectively. Indicators for this kind flap still quite uncommon i...

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INTRODUCTION In the treatment of Gustilo Type 3B open tibial fractures, it is important to perform soft tissue reconstruction and bone reconstruction simultaneously. Gastrocnemius muscle and soleus muscle flaps are generally used as rotational flaps for the tibia. The distal third of the tibia can often not be covered with the gastrocnemius muscle and soleus muscle flaps. Treatment distal to th...

OBJECTIVE To evaluate the use of the medial gastrocnemius muscle and/or soleus muscle flaps as surgical treatment of the leg bone exposure. METHODS We retrospectively analyzed the medical records of patients undergoing transposition of the medial gastrocnemius and / or soleus for treating exposed bone in the leg, from January 1976 to July 2009, gathering information on epidemiological data, t...

Large soft tissue leg defect involving upper and middle third remains a therapeutic challenge. Clinical study of management one defects was done to analyze the various reconstructive procedures for also enhance quality work produce good results with minimal complications as possible. This Prospective conducted in department Plastic Reconstructive surgery, includes 20 cases admitted. Patients &g...

Soft tissue defect of the lower leg with exposure of bone, tendon, and osteosynthesis plates or total knee artthroplasty is a challenging therapeutic problem. The gastrocnemius muscle flap is one option for coverage. This flap is probably one of the safest flaps, and relatively easy to dissect. However, about functional loss for higher loads especially in sports activities is reported in the li...

background: the standard methods for reconstruction of soft tissue defects in the leg include gastrocnemius flap for proximal third defects, soleus flap for middle third and free flap in the distal third. however, there are problems with the use of free flap, like increased operative time, damage of major vessels and the need for experienced microsurgeon. mathods: this prospective study was und...

Summary Background Despite continuous surgical advances, reconstruction of complex lower extremity wounds remains challenging. The indication local flaps or microsurgical free tissue transfer depends on the anatomical location and size defect, as well comorbidities general condition patient. In this study, flap distal defects was assessed, postoperative complications limb salvage were analyzed....

Repeated soft tissue injuries around the knee represent challenging clinical situations where functional prognosis of the joint is often poor, especially in the presence of total knee arthroplasty (TKA). When gastrocnemius muscle flap techniques have already been used and failed, therapeutic solutions become rare. The authors suggest a regional solution to salvage these cases by the transfer of...